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Denise Octaviani, DO
Adolescent Medicine (Family Medicine) Physician in Syracuse, New York
NPI 1841286325

Denise Octaviani is an Adolescent Medicine (Family Medicine) Physician based in Manlius, NY and is specialized in Adolescent Medicine. Denise Octaviani practices in Syracuse, NY and has the professional credentials of DO. The NPI Number for Denise Octaviani is 1841286325 and holds a License No. 197696-1 (New York).

The current practice location address for Denise Octaviani is 1223 N Salina St, Syracuse, NY and can be reached out via phone at 315-703-3263 and via fax at 315-425-1994.

Location: 1223 N Salina St, Syracuse, NY, 13104-9372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841286325
Provider Name
Denise Octaviani
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1223 N Salina St, Syracuse, NY, 13104-9372
Phone Number
315-703-3263
Fax Number
315-425-1994
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01604911 05 NY
institution
Provider Business Practice Location Address Details
Address
1223 N Salina St
City
Syracuse
State
New York
Zip
13208-1519
Phone Number
315-703-3263
Fax Number
315-425-1994
person
Provider Business Mailing Address Details
Address
1223 N Salina St
City
Syracuse
State
New York
Zip
13208-1519
Phone Number
315-703-3263
Fax Number
315-425-1994
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
197696-1 (New York)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
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